Healthcare Provider Details

I. General information

NPI: 1295579639
Provider Name (Legal Business Name): ALYSON KAU LCSW, CSAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2024
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 UNIVERSITY AVE STE 411
HONOLULU HI
96826-1508
US

IV. Provider business mailing address

P. O. BOX 60599 ATTN: ABS
EWA BEACH HI
96706
US

V. Phone/Fax

Practice location:
  • Phone: 808-942-7884
  • Fax: 808-942-7885
Mailing address:
  • Phone: 808-664-1104
  • Fax: 866-592-3142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-3122
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: